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Organization
ST LUKE'S REGIONAL MEDICAL CENTER
Active
Organization
ST LUKE'S REGIONAL MEDICAL CENTER
Active
Other names
ST LUKE'S IDAHO FAMILY PHYSICIANS
Organization subpart
No
Provider details
NPI number
Authorized official
GREG ORR (DIRECTOR, PHYSICIAN SERVICES)
(208) 381-4103
Entity
Organization
Contact information
Practice address
130 E BOISE AVE, BOISE, ID 83706-4302
(208) 345-4066
Mailing address
130 E BOISE AVE, BOISE, ID 83706-4302
(208) 345-4066
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03
ID
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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